MEDICARE: VITALHEAL, A PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician
2	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1063363919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITALHEAL, A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	1171 S ROBERTSON BLVD STE 242
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1403
Country	:	US
Telephone Number	:	626-737-3195
Fax Number	:

Provider Business Practice Location Address
First Line	:	1171 S ROBERTSON BLVD STE 242
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1403
Country	:	US
Telephone Number	:	626-737-3195
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHAHRIAR JARCHI
Credential	:	MD
Telephone Number	:	626-737-3195

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

Similar Medicare Providers

1295842128 — MARLYN LEE CHENG M.D.
Practice Location Address:

1171 S ROBERTSON BLVD # 175
LOS ANGELES, CA
90035-1403

Practice Phone: 310-625-4944
Practice Fax: 310-559-9507

1265511661 — UNITED PHARMACY, INC
Practice Location Address:

1129 S ROBERTSON BLVD
LOS ANGELES, CA
90035-1403

Practice Phone: 310-247-0247
Practice Fax: 310-247-0248

1417008772 — DR. SHAHRIAR JARCHI M.D.
Practice Location Address:

1171 S ROBERTSON BLVD , SUITE #242
LOS ANGELES, CA
90035-1403

Practice Phone: 626-765-4321
Practice Fax: 866-931-3134

1942352315 — MEHRDAD PAKDAMAN MD
Practice Location Address:

1115 S ROBERTSON BLVD
LOS ANGELES, CA
90035-1403

Practice Phone: 310-659-9999
Practice Fax:

1265654149 — DR. THERESA KATHLEEN GORMLY CH
Practice Location Address:

1157 S ROBERTSON BLVD
LOS ANGELES, CA
90035-1403

Practice Phone: 310-858-8886
Practice Fax: 313-858-1630

1164636643 — DR. NANCY LIVINGSTONE D.C.
Practice Location Address:

1157 S ROBERTSON BLVD
LOS ANGELES, CA
90035-1403

Practice Phone: 310-274-1244
Practice Fax: 310-277-1331

Directions to “VITALHEAL, A PROFESSIONAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.